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ABSTRACT: Invasion Factors uPA/PAI-1 and HER2 Status Provide Independent
and Complementary Information on Patient Outcome in Node-Negative
Breast Cancer
Purpose: The independent clinical relevance of invasion factors
urokinase-type plasminogen activator (uPA)/PAI-1 and HER2 status
was evaluated in lymph node-negative breast cancer patients (N
= 118) without adjuvant systemic therapy after long-term follow-up
of more than 10 years (median, 126 months).
Conclusion: After long-term follow-up, uPA/PAI-1 levels in primary
tumor tissue reliably and strongly indicate an aggressive course
of disease in lymph node-negative breast cancer independent of
HER2 status.
The particular prognostic effect of HER2 status
on OS may reflect its ability to predict resistance to systemic
therapy.
[03/14/2003; Journal of Clinical Oncology]
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